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New Hampshire rates for HCPCS 78140

Labeled Rbc Sequestration Differntl Organ/Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.66 / $535.10 / $535.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.62 / $140.96 / $140.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.82 / $567.82 / $630.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.10 / $155.77 / $225.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.04 / $791.03 / $2,418.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.46 / $253.30 / $395.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.54 / $231.41 / $935.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.69 / $204.64 / $782.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $99.76 / $126.97